During the sixth week of a 10-week parenting skills group, a nurse observes as several members get into a heated dispute about spanking. As a group, they decide to create a pros-and-cons poster on the use of physical discipline. At this time, what is the role of the group leader?

Correct Answer: D

Rationale: The correct answer is D: To encourage the group to solve the problem collectively. The role of the group leader in this situation is to promote group cohesion and problem-solving skills. By encouraging the group to collectively address the issue of differing opinions on spanking, the leader fosters open communication, respect for diverse perspectives, and teamwork. This approach allows group members to explore the topic in a constructive manner, learn from each other, and reach a consensus or understanding. Choice A is incorrect because the leader's role is not to referee or take sides in the debate. Choice B is incorrect as the leader should not impose personal views but facilitate a balanced discussion. Choice C is incorrect as avoiding controversial topics hinders group growth and learning.

Correct Answer: A

Rationale: The correct answer is A because it promotes self-reliance by empowering clients to take responsibility for their own medication schedule. By encouraging clients to request their medications at the appropriate times, the nurse fosters autonomy and self-management. Choice B is incorrect as it is too extreme and may compromise client safety by withholding medications based solely on client request. Choice C is incorrect as it puts the responsibility solely on the client without appropriate guidance from the nurse. Choice D is incorrect as it does not actively involve the client in the medication administration process.

Correct Answer: D

Rationale: The correct answer is D, searching newly admitted clients for hazardous objects. As a milieu manager, ensuring the safety of clients is a top priority. Searching for hazardous objects upon admission is crucial to prevent harm. Setting schedules (A) can be important but not as urgent as ensuring safety. Evaluating medication effectiveness (B) is important but not the primary role of a milieu manager. Conducting group sessions (C) is valuable for therapy but ensuring physical safety takes precedence.

Correct Answer: D

Rationale: The correct answer is D. Developing and implementing a self-care routine to improve sleep and appetite within 4 weeks is the most realistic long-term outcome in addressing the client's crisis. Rationale: 1. Self-care routines can positively impact sleep and appetite. 2. Improvements in sleep and appetite can help alleviate fatigue and other symptoms. 3. Realistic timeline of 4 weeks allows for gradual changes and adjustments. 4. It focuses on tangible actions the client can take to improve their well-being. Incorrect Choices: A: Changing personality traits is a complex and long-term process, unlikely to occur within a week. B: Completely eliminating anxiety within 2 weeks is unrealistic and may not address the underlying causes. C: Immediate reduction of work hours may not be feasible or necessary for addressing the client's crisis.

Correct Answer: B

Rationale: The correct answer is B because it acknowledges the client's emotions and gently suggests caution in making a big decision during a vulnerable time. It shows empathy and encourages the client to reconsider the decision later. Choice A lacks exploration of client's feelings, Choice C introduces unnecessary guilt, and Choice D focuses on the change rather than the emotional state.